Whalio Doctors

NPI 1588899488

Carolee Marie Cutler Peck, MDMPH

Practitioner Ophthalmic Plastic and Reconstructive Surgery Physician Ammon, ID

Practice location

Address
3365 Chasewood Drive, Ammon, ID 83406
Phone
(208) 228-5555
Fax
(208) 228-0077
Mailing address
PO Box 50678, Idaho Falls, ID 83405-0678

Registered specialties

Ophthalmic Plastic and Reconstructive Surgery Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207WX0200X Licence M-15305 (ID)

Registry record

NPI
1588899488
Entity type
Individual
Sex (as registered)
Female
NPI issued
20 May 2009
Record last updated
15 Oct 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.